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17C-281 (3) 107 NORTH MAPLE ST SM-2019-0025 COMMONWEALTH OF MASSACHUSETTS 1877 ---� CITY OF NORTHAMPTON IGI$#: MWp. 17C Block 0 Lot: ()01 01 SHEETMETAL PERMIT ,,,,�.. Permit SHEETMETAI N Gategary: $HEETMETAL Perlmit# SM-2019-0025 PERMISSION IS HEREBY GRANTED TO.- Project# JS-2019-000422 Est.Cast: Contractor: License: Expires: Fee Charged:$25.00 COMFORT HEATING AND COOLICSL- 10214 03/28/2019 Balance Due:S.00 Owner: DEVLIN MARK #of Fixtures: Applicant: COMFORT HEATING AND COOLING-DALE R SIMMONS gSafe# AT. 107 NORTH MAPLE ST UseGro4 comtClass ISSUED ON. 18-Oct-2018 AMENDED ON. EXPIRES ON.- TO N.TO PERFORM THE FOLLOWING WORK: ADDING FURNACE AND DUCTWORK TO 2ND FLOOR APARTMENT THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Sheetmetal REC-2019-001370 17-Oct-18 1888 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)S87-1272,Email:lhasbrouck(a�northamptonma.gov GcoTMS®2018 Des Lauriers Municipal Solutions,Inc. File#SM-2019-0025 APPLICANT/CONTACT PERSON COMFORT HEATING AND COOLING-DALE R SIMMONS ADDRESS/PHONE 7 HINCKLEY ST (413)579-2380 PROPERTY LOCATION 107 NORTH MAPLE ST MAP 17C PARCEL 281 001 ZONE URB(100Y THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid Typeof Construction: ADDING FURNACE AND DUCT)YORK O 2ND FLOOR APARTMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 10214 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND/OR Special Permit with Site Plan Major Project: Site Plan AND/OR Special Permit with Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management / 10117fie Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all Zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of Planning&Development for more information. Fq Commonwealth of Massachusetts F-2 T City Of Northampton M, r Sheet Metal Permit Permit 1 _ yOate:o �a _ D Cn gtim ob Cost: $ Permit Fee: $ om 80 co M Ed Plans itted: YES NO Plans Reviewed: YES NO 0 Business L cense# Applicant License# / G 1 Business Information: Property Owner/Job Location Information: Name: :U/n roeT HPI97/NG Ari Name: /'"rk / i �1 coo 4./wC Street: %7_ jT✓c.� Y ST Street: /0? LVaA1'4 m Hl'L f S r City/Town: 0/7, -'.,✓C P City/Town: 0 (Al C (' Telephone: Y/ 3 - S"7 2 3 d Telephone: i Photo I.D. required/Copy of Photo I.D. attached: YES�„/ NO l Staff Initial J-1 M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work:Zz� Renovation: HVAC ZZ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: ell&la ct:w✓ r/lr'rb To /9 aFR14 ggx? / �/A/-/g( i" 191-b nc,,cr wc/3,/< To Sr'«Na /=Cccr Fees with Building Permit:$25.00 Residential,$50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000 Minimum fees for jobs without Building Permit$50.00 Residential,$100.00 Commercial Z �ena Please visit our web site at http://www.mass.gov/dpi/boards/SM DALE R SIMMONS 7 HINCKLEY ST (SM) FLORENCE,MA 01062-2737 Fold,Then Detach Mang AM Perforations -IVA to gj I R013:1- • • SHEET WORK ISSUES THE FOLLOWING`►�E I� ER30N- t#�3Tt�CT>=D , R FL r�A 07062 . ` 70214 3t2$i2t119 244958 N � ,a � {;: � I i Fi� Illi �.' � I i. d I IIS `�:� �l �v�,;- S, rI ��� i �. 4 b DATE(MMIDDIYYYY) AC"Rcr CERTIFICATE OF LIABILITY INSURANCE 10!16/2018 THIS CERTIFICATE IS tSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Christina Barrett Aquadro&Associates PHONE (413)586-7373A c,No: (413)584-0859 355 Bridge St.,P.O-Box 357 ADDRESS: Christina@aquadroinsurance.com INSURERS)AFFORDING COVERAGE NAIC N Northampton MA 01061 INSURER A: Main Street America Insurance 29939 INSURED INSURER B: COMFORT,HF ATING AND COOLING INSURER C 7 HINCKLEY ST INSURER D: INSURcx e: _- F LCF".,;n��r ,7 "'I � ,.rtA �10R ?737 iNSUCcn r' COVERAGES CERTIFICATE NUMBER: CL1882009035 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY FXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMSER MM/DD/YYYY) JMWDDA-y`YYJ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE M OCCUR PREMISES Ea owurrerce $ 500,000 MED EXP(Any one person) $ 10,000 A MPT986OG 01/20/2018 01120/2019 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X PRCOT- LOC PRODUCTS•COMP/OP AGG $ 2,000,000 POLICY❑ OTHER Individual Risk Mod Prem $ AUTOMOBILE LIABILITY COMBINED SINGLE-LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) s A OWNED Ne (Per mden SCHEDULED M4T9860G 03/1012018 03/1012019 BODILY INJURY l $ AUTOS ONLY AUTOS I X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per amcienl PIP-Basic $ 8,000 - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS L1A6 HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' YIN LIABILITY STATUTE I ER ANY PROPRIETORiPARTNERIEXECUTIVE ❑ DFFNIA E.L.EACH ACCIDENT s ICER/MEMOER EXCLUDED? (Mantlat"in NH) E.L.DISEASE-EAEMPLOYEE $ If yea,desenbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CITY OF NORTHAMPTON ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING&PERMIT DEPT 212 MAIN STREET,#100 AUTH P ESENTATIVE NORTHAMPTON MA 01060 ©12 5 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACO